EMINENCE HEALTHCARE SERVICES, LLC (NPI# 1508047333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508047333 |
Entity Type | Organization |
Organization Name | EMINENCE HEALTHCARE SERVICES, LLC |
Practice Address |
11 S Teilman Ave Rm 1, 2, 5, 12-18 Fresno CA 93706-1332 |
Mailing Address |
Po Box 27707 Fresno CA 93729-7707 |
Practice Telephone | 5592218100 |
Practice Fax Number | 5592218101 |
Mailing Telephone | 5592218100 |
Mailing Fax Number | 5592218101 |
Enumeration Date | 2007-11-20 |
Last Update Date | 2017-09-21 |
Authorized Official Name | MR. JUAN GARZA II (CEO/PROGRAM DIRECTOR) |
Authorized Official Telephone | 5592218100 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDI-CAL | 101076 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528599792 | Eminence Healthcare Services, LLC | Clinic/Center | 4250 E Tulare St, Fresno, CA 93702-3037 | 2017-03-21 |
1629519871 | Eminence Healthcare Services, LLC | Clinic/Center | 4330 E Garland Ave, Fresno, CA 93726-6102 | 2017-03-20 |
1750752879 | Eminence Healthcare Services, LLC | Clinic/Center | 16673 Palmer Ave, Rooms 1, 2, 3, 4, 5, Huron, CA 93234-1090 | 2015-10-15 |
1922478734 | Eminence Healthcare Services, LLC | Clinic/Center | 13883 S Lassen Ave, Rooms 1 & 2, Helm, CA 93627-9900 | 2015-10-06 |
1568844041 | Eminence Healthcare Services, LLC | Clinic/Center | 707 Letts Ave, Rooms B1, B3 1/2, Corcoran, CA 93212-1753 | 2015-06-22 |
1538540521 | Eminence Healthcare Services, LLC | Clinic/Center | 1100 Letts Ave, Rooms 4, 7, Sc4, Corcoran, CA 93212-2520 | 2015-06-15 |
1306227954 | Eminence Healthcare Services, LLC | Clinic/Center | 701 General Petroleum Avenue, Rooms 13, 17, 18, Kettleman City, CA 93239-0599 | 2015-06-09 |
1205224110 | Eminence Healthcare Services, LLC | Clinic/Center | 205 S 1st St, Kerman, CA 93630-1001 | 2014-12-30 |
1154729382 | Eminence Healthcare Services, LLC | Clinic/Center | 877 E North Ave, Room 2, Reedley, CA 93654-2566 | 2014-12-22 |
1821224650 | Eminence Healthcare Services, LLC | Clinic/Center | 608 N 1st Ave, Room 21, Avenal, CA 93204-1071 | 2009-06-08 |
Street Address |
11 S TEILMAN AVE RM 1, 2, 5, 12-18 |
City | FRESNO |
State | CA |
Zip Code | 93706-1332 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033264494 | Brian C Bishop | Recreation Therapist | 11 S Teilman Ave, Fresno, CA 93706-1332 | 2007-01-24 |
1215219555 | Just 4 Kidz,inc. | Community/Behavioral Health | 11 S Teilman Ave, Fresno, CA 93706-1332 | 2011-09-13 |
1871738336 | Ignacio Bustos | Counselor | 11 S Teilman Ave, Fresno, CA 93706-1332 | 2008-12-11 |
1497907026 | Pierre E. Saint-fleur | Marriage & Family Therapist | 11 S Teilman Ave, Fresno, CA 93706-1332 | 2008-10-14 |
1467626382 | Joyce Ann Clemons | Counselor | 11 S Teilman Ave, Fresno, CA 93706-1332 | 2008-04-22 |
1871777904 | Ravinder Kaur Singh | Counselor | 11 S Teilman Ave, Fresno, CA 93706-1332 | 2007-12-26 |
1144360744 | Westcare California, Inc | Clinic/Center | 11 S Teilman Ave, Fresno, CA 93706-1332 | 2007-02-06 |
1003953639 | Ker Yang Lor | Rehabilitation Practitioner | 11 S Teilman Ave, Fresno, CA 93706-1332 | 2007-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
1821567538 | Misty Dawn Shepherd | Counselor | 2772 Martin L King Blvd, Fresno, CA 93706 | 2018-11-26 |
1497224125 | Jose Jimenez | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
1023587730 | James John Pokorny IIi | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
1932574225 | Brandi Leos | Counselor | 2772 Mlk Jr. Blvd, Fresno, CA 93706 | 2015-12-11 |
1174998199 | Jeremiah Hinojosa | Counselor | 2772 S M.l.k. Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
1538534557 | Megan Mahoney | Counselor | 2772 S Martin Luther King Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
Find all providers in zip 93706 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558925909 | Aspire Counseling Services | Clinic/Center | 7125 N Chestnut Ave Ste 104, Fresno, CA 93720-0358 | 2019-04-30 |
1437641479 | Spirit of Woman of Ca, Inc. | Clinic/Center | 327 W Belmont Ave, Fresno, CA 93728-2801 | 2018-06-05 |
1528599792 | Eminence Healthcare Services, LLC | Clinic/Center | 4250 E Tulare St, Fresno, CA 93702-3037 | 2017-03-21 |
1629519871 | Eminence Healthcare Services, LLC | Clinic/Center | 4330 E Garland Ave, Fresno, CA 93726-6102 | 2017-03-20 |
1497158737 | Westcare California, Inc | Clinic/Center | 1127 E Escalon, Ahwahnee Middle School, Fresno, CA 93710 | 2014-10-01 |
1457606972 | Westcare California Inc. | Clinic/Center | 808 S 10th St, Fresno, CA 93702-3506 | 2012-07-20 |
1952673352 | Westcare California | Clinic/Center | 1702 E Bullard Ave Ste 103, Fresno, CA 93710-5800 | 2012-01-31 |
1982846986 | Eminence Healthcare Services, LLC | Clinic/Center | 855 W Nielsen Ave, Rooms 1, 2, 3, 5, Fresno, CA 93706-1700 | 2009-04-06 |
1295972446 | Central California Recovery | Clinic/Center | 1204 W Shaw Ave #102, Fresno, CA 93711-3706 | 2009-01-09 |
1700038130 | Eminence Healthcare Services, LLC | Clinic/Center | 4055 N Bryan Ave, Fresno, CA 93723-9426 | 2008-10-16 |
Find all providers in FRESNO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.